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Thoughts and Emotions Review-Notes PDF

This session reviews the patient's diary from activities aimed at reducing the negative impact of tinnitus over the past two weeks. The goals are to neutralize negative thoughts about tinnitus, modify the patient's lifestyle to engage in activities where tinnitus is less noticeable, and use background sound. The diary documents thoughts, activities, sounds used and their effects. Progress is evaluated to determine modifications that can further decrease triggers and increase relief.

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Chris Mantis
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65 views9 pages

Thoughts and Emotions Review-Notes PDF

This session reviews the patient's diary from activities aimed at reducing the negative impact of tinnitus over the past two weeks. The goals are to neutralize negative thoughts about tinnitus, modify the patient's lifestyle to engage in activities where tinnitus is less noticeable, and use background sound. The diary documents thoughts, activities, sounds used and their effects. Progress is evaluated to determine modifications that can further decrease triggers and increase relief.

Uploaded by

Chris Mantis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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• This 

session is to be completed at the start of the follow‐up appointment after the 
Thoughts and Emotions session. 
• Ask the patient to bring their diary to this follow‐up appointment and review it together 
using these slides.

1
• By completing the activities and diary, the goal is to:
• Neutralize the patient’s negative thoughts about tinnitus
• Modify their lifestyle to engage in activities where tinnitus is less 
noticeable/bothersome
• Use low‐level background sound to make tinnitus less prominent

2
An example of what a patient might report on their diary:
1.  Write down your thoughts and worries about 
tinnitus
My tinnitus will get worse over time.

2. Check to see if these thoughts match 
what actually happens
Though some days can be worse, my 
tinnitus is about the same.

3. List the alternative ways of thinking about 
tinnitus that you find helpful

3
I have tinnitus, but it is really a small part of 
my life.

3
• Examples of things that reduce tinnitus:
• Background sound from fan, radio, music
• Stress reduction/ relaxation exercises
• Being in a quiet place
• Examples of things that make tinnitus worse:
• Alcohol
• Being in a noisy place
• Lack of sleep 
• Caffeine (coffee/tea/cola)

4
• This is completed to help the patient to refocus attention on other, more enjoyable 
activities and sounds beyond tinnitus. 
• Examples of activities they may enjoy: gardening, piano playing, music listening, knitting
• Examples of sounds they may enjoy: ocean waves, rain, waterfall, white noise, classical 
music, piano

5
Discuss the activities and sounds used and their effect on tinnitus. 
1. Try to determine what can be modified in their routine to increase good situations and 
decrease bad ones. 
2. Try to determine what sounds can be added to their environment to provide masking of 
tinnitus, and reduce the neural prominence of tinnitus.

6
After two weeks of a diary, the patient should have a list of new activities that they 
engaged in each day, and the effect those activities have on tinnitus.
Example: Day 1 – gardening; Effect on tinnitus – did not notice tinnitus as much when 
hearing birds and other outside noises

7
8

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